
Thoma Bravo's Behind the Deal Beyond Building NextGen Healthcare’s Successful Remote-First Company and Culture with David Sides
Jul 10, 2025
David Sides, CEO of NextGen Healthcare and an expert in healthcare IT, shares insights from his 30-year journey in the industry. He discusses his family’s medical roots that shaped his leadership style focused on transparency and data. The remote-first model of NextGen emphasizes cultural fit in hiring and the importance of purposeful gatherings. David also reflects on his approach to empathy and delegation, earning trust through transparency, and shares personal stories from his adventures on motorcycles and skis.
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Ambulatory Care Digitized For Physicians
- NextGen automates ambulatory medical practices enabling physicians to run practices and interact with patients remotely.
- David Sides frames the product as giving a physician an iPad to run their whole practice end-to-end.
Family Medicine Sparked A Tech Pivot
- David grew up in a medical family: his grandfather was a rural physician and his father a hematologist-oncologist.
- Observing piles of paper charts and dictaphones motivated him to move from pre-med to healthcare technology.
Lead With Transparency And Data
- Run the company with transparency and let data drive decisions to reduce internal politics.
- Decentralize authority, let teams move fast, and prefer failing fast over slow indecision.

